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Individual

LAMICHA M HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNPC

Contact information

Practice address
2002 OXFORD AVE, LUBBOCK, TX 79410
(806) 793-8869
(806) 793-0043
Mailing address
2002 OXFORD AVE, LUBBOCK, TX 79410
(806) 793-8869
(806) 793-0043

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
642609
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178030601
TX
Enumeration date
09/20/2006
Last updated
11/26/2007
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